Tebby Chiropractic and Sports Medicine Clinic: What Is Required For A DOT Exam?

The DOT Physical Exam

The fee for the DOT physical exam with med card issued upon successful completion is – $60.00

Cash or credit card payments are accepted.

There is ample parking across the street from our office for large vehicles and tractor-trailers.

What to bring with you:

Valid driver’s license
Medication list
Glasses, contact lenses, hearing aids
Federal Vision or Diabetes Waiver
Skills Performance Evaluation Certificate

Medical records from your treating provider

If you have conditions such as cardiac disease, diabetes, sleep disorders, neurologic disease
If you take prescribed medication for pain, anxiety, depression, seizures, sleep disorders, muscle psychiatric disorders, or ADD/ADHD, spasms, or smoking cessation

Appointments are generally scheduled within 24 hours and same-day exams can be provided.

FMCSA National Registry—Certified Medical Examiners Beginning in 2014, the Federal Motor Carrier Safety Administration (FMCSA) requires all medical examiners to be trained and certified in FMCSA physical qualification standards.

In compliance with this requirement, all Commercial Motor Vehicle (CMV) drivers must be examined by Medical Examiners who have completed the training/testing and are listed on the FMCSA National Registry of Certified Medical Examiners website.

All drivers regulated by DOT/Commercial Motor Vehicle (CMV) standards are required to have a valid medical certificate signed by a Certified Medical Examiner (CMA).

Tebby Chiropractic and Sports Medicine Clinic is listed on the FMCSA National Registry and all of our Medical Examiners have completed the required training and testing.

For additional information, please refer to the FMCSA website.

Disclaimer In compliance with FMCSA guidelines, some health conditions require supportive medical documentation. In these cases, a limited certification may be issued. If a driver is given a limited card in order to obtain this documentation, the information must meet the FMCSA standards and be received by Tebby Chiropractic and Sports Medicine Clinic in the requested time frame. An additional fee will apply based on time spent to review the documentation and issue a new card. If a driver has a medical condition requiring more frequent monitoring or the driver is temporarily disqualified and eligible for a repeat exam, full exam fees apply. Please contact us for specific pricing.

Your DOT exam will include the following components:

Past or recent illnesses or injuries.
Review of current medications, including controlled substances.
Review of any current or past medical conditions such as heart disorders, high blood pressure, diabetes, etc.
Physical exam.
Blood pressure & pulse.
Vision acuity test.
Hearing test.
Urine dip screen (urinalysis, NOT A DRUG SCREEN).

If needed, additional tests for cardiac, pulmonary and/or respiratory conditions.

The basic requirements for passing a DOT physical exam under the new standards are:

At least 20/40 correctable vision in each eye as well as both combined. Glasses or contacts are allowed.
Needs to be able to distinguish colors found on traffic signals.
Forced whisper test to detect adequate hearing.
Controlled blood pressure under 140/90. Prescription medication may be used to control blood pressure.
Cannot have diabetes that requires insulin injections (unless part of the waiver program).
Maximum blood sugar level allowed is 200.
No use of a schedule I drug (controlled substance), amphetamine, narcotic or habit forming drug.

For any exemptions for vision, diabetes, etc. , please bring the exemption to your physical exam.

Before you arrive at our office for your DOT exam, please do the following:

Arrive about 20 minutes early to complete necessary paperwork.
Bring your driver’s license and pocket certificate
Bring your glasses, contacts or anything you routinely use for vision.
Bring a list of all of the prescription medication that you take including over the counter medications.
Bring a list of doctors that you see and their phone numbers.
Take any required medications prior to your visit, including blood pressure meds.
Drink plenty of water. You’ll be required to give a urine sample to screen for kidney problems.

If you have any of the conditions below, bring the requested items.

Diabetes – Bring a list of medications and the name of your prescribing doctor. Bring copies of your blood sugar results or hemoglobin A1C results from the past 3 months.
High blood pressure – Bring a list of medications and the name of your prescribing doctor.
Heart condition – If you’ve had a heart attack or cardiovascular disease, bring a copy of your last stress test or release from your cardiologist.
Sleep apnea – Bring a copy of your latest sleep study results along with a print out of your CPAP useage for the preceeding month.

Passing or Failing your DOT exam:

The most common reasons for failing a DOT physical are high blood pressure and uncontrolled sugar in your urine. Both conditions can commonly be controlled and managed.

Another reason for failing a DOT exam would be having any condition that would cause a loss of the ability to operate a commercial vehicle safely, including the loss or impairment of limbs, poor vision, insulin controlled diabetes, high blood pressure, heart disease, epilepsy, mental disorders or use of certain drugs.

DOT medical cards are typically issued for 2 years. However, your medical examiner may issue a card for one year or less, if you have a medical condition that requires monitoring, such as hypertension or the use of a CPAP machine.

If you fail your medical exam, your medical examiner may issue you a 3 month medical card and have you return for further follow-up, to be sure that your medical issue is now controlled.

Drug testing is not a typical part of the DOT exam but may be required by your employer.

Waiver VS Exemption

A waiver is temporary regulatory relief from one or more of the FMCSRs given to a person subject to the regulations, or a person who intends to engage in an activity that would be subject to the regulations. A waiver provides the person with relief from the regulation for up to three months. 49 CFR 391.64 provides waivers to CMV drivers who were in the initial vision and insulin programs in the early 1990’s.

An exemption is a temporary regulatory relief from one of more of the FMCSRs given to a person or class of persons subject to the regulations, or who intend to engage in an activity that would make them subject to the regulation. An exemption provides the person or class of persons with relief from the regulations for up to two years, but may be renewed.

Applying For A Medical Exemption

The Federal Diabetes and Vision Exemption Programs have specific requirements, as well as requests for hearing and seizure exemptions. These requests may include medical exams, employment history, driving experience and motor vehicle records which must be submitted with the application. The Agency will make a final decision within 180 days of receipt of the complete application.

Applying for an Exemption An individual may apply for an exemption from the diabetes, hearing, seizure and vision standard, section 391.41(b)(3) and 391.41(b)(11), 391.41(b)(8) or 391(b)(10) of the regulation, by utilizing these programs. If you do not currently meet the diabetes, hearing, seizure and/or vision standard and are unable to obtain a medical card, you may be an eligible candidate.

Please note that all exemption programs are for drivers who intend to operate commercial motor vehicles (CMVs) in interstate commerce. FMCSA does not have statutory authority to grant waivers/exemptions to drivers from states’ intrastate requirements. Therefore, the FMCSA waivers/exemptions do not permit regulatory relief for drivers who plan to limit their operations to intrastate commerce.

Diabetes Package

Diabetes Exemption Application

Quarterly Endocrinologist Evaluation Form for Already Exempted Drivers

Annual Diabetes Assessment Package for Already Exempted Drivers

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